This is meant to help new resident orient to our clinic.
The clinic is open Monday to Friday, 8am - 4:45pm.
Directions:
1501 3rd St, Richmond, CA 94801 (Google Map link)'
Facilities/Staff:
The North Richmond Staff includes:
Registration
Medical Records
Nursing/Medical Assistant
HIV Community Health Worker
Patient Educator
Social Worker
Care Coordinator
Clinic Manager
Phlebotomist
Physicians
Communication:
General Staff Meeting 2nd Wed of the Month
Please write all requests to staff using the MR447 (Ambulatory Care Provider Form)
Other Clinic Activites:
HIV Support Group: Wednesday Morning
TOPIC MEDICAL RECORDS General Goals of medical record Paper Chart: Database sheet—adult Database sheet—child Progress note (SOAP), page options (blank, formatted) Clarify in plan: nursing orders; pt ed done; pt action plan; future plans Prenatal Record Flow sheets Diabetes (vs Registry) Asthma HIV INH, Anticoag Forms Chronic Pain Medication Agreement Referrals, studies, labs Electronic Records Dictations (when required, always optional, required paper note basics) RxM (including printing as part of paper chart and med reconciliation) Diabetes Registry—population/panel management, individual pt use
RESOURCES On-line Point of Care medical information Utdol Dynamed Myhq.com/public/a/l/alasieg/ Micromedex nccn.org (cancer), ahwg.net (adolescent provider toolkit) Google, google scholar, pubmed, mdconsult … Medi-Tech (local protocols) On-line patient/provider resources CCHS/CCORD On-line access to schedule, pt appts (PCIS, ALUS) Consultations FM preceptors Behavioral Science preceptors On-call CCRMC specialists/registrars Outside (eg HIV Warmline, PEPline, CFS) CCRMC Co-managers (Healthy Start, SW’s, etc) Skills Development/Goals NEW INNOVATIONS ITEMS, setting sequential individual goals Preparing for visit Preparing for clinic huddle with nurse, preceptors; chart/registry review Procedures
Working with Preceptors Presentations, “1-minute preceptor approach” (commit self…) Direct observation: preceptors (MD and BS) observe resident, vice-versa Working with Nursing Staff Structure, roles, “huddle”
Co-management Resources Healthy Start Anticoagulation Clinic Patient Educators INH Nurse Dieticians Social Workers Specialy Clnics Mental Health
Outside Referrals/Comanagement Regional Center of the East Bay Nursing Homes Perinatology, Cardiology, Nephrology groups CHO, UCSF, UCD specialty clinics
Feedback, Self-Evaluations, Mutual Evaluations Preceptors: resident’s preferred ways/times for formative feedback preceptors eager for formative feedback summative evaluations Patients: preceptor interview after direct observation “close the loop” Nursing staff: mutual checking in and feedback (not yet structured)
Patient Panel management Inviting patients’ family members to your panel Variety of demographics and diagnoses followed (including prenatals)
This is meant to help new resident orient to our clinic.
The clinic is open Monday to Friday, 8am - 4:45pm.
Directions:
1501 3rd St, Richmond, CA 94801 (Google Map link)'
Facilities/Staff:
The North Richmond Staff includes:
Communication:
General Staff Meeting 2nd Wed of the Month
Please write all requests to staff using the MR447 (Ambulatory Care Provider Form)
Other Clinic Activites:
HIV Support Group: Wednesday Morning
TOPIC
MEDICAL RECORDS
General Goals of medical record
Paper Chart:
Database sheet—adult
Database sheet—child
Progress note (SOAP), page options (blank, formatted)
Clarify in plan: nursing orders; pt ed done; pt action plan; future plans
Prenatal Record
Flow sheets Diabetes (vs Registry)
Asthma
HIV
INH, Anticoag
Forms Chronic Pain Medication Agreement
Referrals, studies, labs
Electronic Records
Dictations (when required, always optional, required paper note basics)
RxM (including printing as part of paper chart and med reconciliation)
Diabetes Registry—population/panel management, individual pt use
RESOURCES
On-line Point of Care medical information
Utdol
Dynamed
Myhq.com/public/a/l/alasieg/
Micromedex
nccn.org (cancer), ahwg.net (adolescent provider toolkit) Google, google scholar, pubmed, mdconsult …
Medi-Tech (local protocols)
On-line patient/provider resources
CCHS/CCORD
On-line access to schedule, pt appts (PCIS, ALUS)
Consultations
FM preceptors
Behavioral Science preceptors
On-call CCRMC specialists/registrars
Outside (eg HIV Warmline, PEPline, CFS)
CCRMC Co-managers (Healthy Start, SW’s, etc)
Skills Development/Goals
NEW INNOVATIONS ITEMS, setting sequential individual goals
Preparing for visit
Preparing for clinic huddle with nurse, preceptors;
chart/registry review
Procedures
Working with Preceptors
Presentations, “1-minute preceptor approach” (commit self…)
Direct observation: preceptors (MD and BS) observe resident,
vice-versa
Working with Nursing Staff
Structure, roles, “huddle”
Co-management Resources
Healthy Start
Anticoagulation Clinic
Patient Educators
INH Nurse
Dieticians
Social Workers
Specialy Clnics
Mental Health
Outside Referrals/Comanagement
Regional Center of the East Bay
Nursing Homes
Perinatology, Cardiology, Nephrology groups
CHO, UCSF, UCD specialty clinics
Feedback, Self-Evaluations, Mutual Evaluations
Preceptors: resident’s preferred ways/times for formative feedback
preceptors eager for formative feedback
summative evaluations
Patients: preceptor interview after direct observation
“close the loop”
Nursing staff: mutual checking in and feedback (not yet structured)
Patient Panel management
Inviting patients’ family members to your panel
Variety of demographics and diagnoses followed (including prenatals)
Required Reporting
Intentionally inflicted injury
Child abuse and neglect
Intimate partner abuse